ELIZABETH DANIELLE PACK

LOGAN, WV
NPI1336741016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-11-09
Last Update Date2020-11-09
Business Address
ELIZABETH DANIELLE PACK
5577 OLD LOGAN RD
LOGAN, WV 25601-3346
Phone number: 304-896-2371
Mailing Address
ELIZABETH DANIELLE PACK
5577 OLD LOGAN RD
LOGAN, WV 25601-3346
Phone number: 304-896-2371
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